Volume 23, Issue 4 (10-2024)
TB 2024, 23(4): 15-30 |
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Ethics code: IR.SSU.SPH.REC.1400.113
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Tavallaei M, Hesaraki M, Seyhoon M, tahvilian N, Hosseinzadeh M. The Effectiveness of Treatment Based on Acceptance and Commitment Therapy on Psychological Capital, Weight and Fat Mass in Obese Women. TB 2024; 23 (4) :15-30
URL: http://tbj.ssu.ac.ir/article-1-3659-en.html
URL: http://tbj.ssu.ac.ir/article-1-3659-en.html
Shahid Sadougi University of Medical Sciences, Yazd, Iran , hoseinzade.mahdie@gmail.com
Keywords: Acceptance and Commitment Therapy (ACT), Psychological Capital, Weight Loss, Fat Mass, Women
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The Effectiveness of Treatment Based on Acceptance and Commitment Therapy on Psychological Capital, Weight and Fat Mass in Obese Women
Mehdi Tavallaei(Ph.D.) 1, Motahareh Hesarki Sharq(M.Sc.)2, Maryam Seyhoon(M.Sc.)3, Negin Tahvilian(Ph.D.s)5, Mahdieh Hosseinzadeh(Ph.D.)6
1.Assistant Professor of Department of Psychology and Educational Sciences, Non-Profit Institute of Higher Education Imam Javad, Yazd, Iran.
2.Master of General Psychology, Department of Psychology and Educational Sciences, Imam Javad Non-Profit Higher Education Institute, Yazd, Iran.
3.Master of Nutritional Sciences, Department of Nutrition, Faculty of Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
4.PhD student of Nutrition Sciences, School of Public Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
5.Corresponding Author: Associate Professor of Nutritional Sciences, School of Public Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran. Tel: 035 31492240 Email: hoseinzade.mahdie@gmail.com.
Abstract
Introduction: The present study was conducted with the aim of investigating the effectiveness of acceptance and commitment therapy (ACT) on psychological capital, weight and fat mass of obese women.
Method: This study is a semi-experimental, involving a pre-test and post-test design with a control group. The research population comprised all overweight and obese women living in Yazd in 2021. According to the inclusion criteria, 30 people were selected and randomly replaced in two experimental and control groups (15 people in each group). The research instruments included a demographic information questionnaire, the psychological capital questionnaire, and the ACT treatment protocol. Following the pre-test, subjects in the control group underwent ACT treatment training sessions as the independent variable. The intervention consisted of nine group therapy sessions, each lasting 1.5 hours. Analysis of covariance (ANCOVA) was used to analyze the data.
Results: At the beginning of the research, the average weight in the experimental group was 73.85 kg and in the control group was 74.01 kg. The findings of the research showed that the treatment based on ACT was able to play an effective role in increasing the psychological capital of overweight and obese women in Yazd city (p=0/001). This treatment was also effective in reducing the fat mass and weight of the participants (p=0/001).
Conclusion: According to the results of the present study, it seems that ACT can play an effective role in solving the problems of overweight women and increase their psychological capital and reduce their weight and fat mass.
Keywords: Acceptance and Commitment Therapy (ACT), Psychological Capital, Weight Loss, Fat Mass, Women
References
1-Blüher M, Aras M, Aronne LJ & et al. New insights into the treatment of obesity. Diabetes, Obesity and Metabolism. 2023;25(8):2058-72.
2-Abiri B, Ahmadi AR, Amini S & et al. Prevalence of overweight and obesity among Iranian population: a systematic review and meta-analysis. Journal of Health, Population and Nutrition. 2023;42(1):70.
3-Koliaki C, Dalamaga M, Liatis S. Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten? Current Obesity Reports. 2023;12(4):514-27.
4-Elmaleh-Sachs A, Schwartz JL, Bramante CT& et al. Obesity management in adults: a review. Jama. 2023;330(20):2000-15.
5-Wharton S, Lau DC, Vallis M & et al. Obesity in adults: a clinical practice guideline. Cmaj. 2020;192(31):E875-E91.
6-Carraça E, Encantado J, Battista F & et al. Effective behavior change techniques to promote physical activity in adults with overweight or obesity: a systematic review and meta‐analysis. Obesity Reviews. 2021;22:e13258.
7-Awoke MA, Harrison CL, Martin J & et al. Behaviour change techniques in weight gain prevention interventions in adults of reproductive age: meta-analysis and meta-regression. Nutrients. 2022;14(1):209.
8-Kasila K, Vainio S, Punna M & et al. Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting. Primary health care research & development. 2020;21:12.
9-Toselli S, Grigoletto A, Zaccagni L & et al. Body image perception and body composition in early adolescents: a longitudinal study of an Italian cohort. BMC Public Health. 2021;21:1-13.
10-Niswah I, Rah JH, Roshita A. The association of body image perception with dietary and physical activity behaviors among adolescents in Indonesia. Food and nutrition bulletin. 2021;42(1_suppl):S109-S21.
11-Wang D, Benito PJ, Rubio‐Arias JÁ & et al. Exploring factors of adherence to weight loss interventions in population with overweight/obesity: an umbrella review. Obesity Reviews. 2024:e13783.
12-Mohseni M, Kuckuck S, Meeusen RE & et al et al. Improved physical and mental health after a combined lifestyle intervention with cognitive behavioural therapy for obesity. International Journal of Endocrinology and Metabolism. 2023;21.(1)
13-Lillis J, Bond DS. Values-based and acceptance-based intervention to promote adoption and maintenance of habitual physical activity among inactive adults with overweight/obesity: A study protocol for an open trial. BMJ open. 2019;9(1):e025115.
14-Paixão C, Dias CM, Jorge R & et al. Successful weight loss maintenance: a systematic review of weight control registries. Obesity reviews. 2020;21(5):e13003.
15-Twohig MP. Acceptance and commitment therapy: Introduction. Elsevier; 2012. p. 499-507.
16-Nissling L, Weineland S, Vernmark K & et al. Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial. Research in Psychotherapy: Psychopathology, Process, and Outcome. 2023;26.(2)
17-Harris E, Samuel V. Acceptance and commitment therapy: A systematic literature review of prevention and intervention programs for mental health difficulties in children and young people. Journal of Cognitive Psychotherapy. 2020;34(4):280-305.
18-Hayes SC, Luoma JB, Bond FW & et al. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006;44(1):1-25.
19-Robitzsch A, Schweda A, Hetkamp M & et al. The impact of psychological resources on body mass index in obesity surgery candidates. Frontiers in psychiatry. 2020;11:649.
20-Fang S, Ding D. The efficacy of group-based acceptance and commitment therapy on psychological capital and school engagement: A pilot study among Chinese adolescents. Journal of contextual behavioral science. 2020;16:134-43.
21-Ayn Beygi A, Soleimanian AA, Jajarmi M. The Comparison of the effectiveness of acceptance and commitment therapy and existentialism therapy on increasing psychological capital in the elderly. Aging Psychology. 2020;6(2):165-78.
22-Luthans F, Avolio BJ, Avey JB & et al. Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel psychology. 2007;60(3):541-72.
23-Bahadori Khosroshah J, Hashemi Nosratabad T, Babapour Kheirodin J. The relationship of psychological capital with social capital among students. Journal of Research and Health. 2012;2(1):63-71.
24-Comșa L, David O, David D. Outcomes and mechanisms of change in cognitive-behavioral interventions for weight loss: A meta-analysis of randomized clinical trials. Behaviour Research and Therapy. 2020;132:103654.
25-Yıldız E. The effects of acceptance and commitment therapy on lifestyle and behavioral changes: A systematic review of randomized controlled trials. Perspectives in psychiatric care. 2020; 56(3):657-90.
26-Afari N, Herbert M, Godfrey K & et al. Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obesity science & practice. 2019;5(5):397-407.
27-Rose M, Graham CD, O'Connell N & et al. A randomised controlled trial of acceptance and commitment therapy for improving quality of life in people with muscle diseases. Psychological medicine. 2023;53(8):3511-24.
28-FirooziKhojastehfar R, Asgari K, Kalantari M & et al. A pilot randomized control of the efficacy of cognitive-behavioral therapy on depression and hypersexual behaviors in compulsive sexual behavior disorder. Sexual Health & Compulsivity. 2021; 2;28(3-4):189-99.
29-Lawlor ER, Islam N, Bates S & et al. Third‐wave cognitive behaviour therapies for weight management: a systematic review and network meta‐analysis. Obesity Reviews. 2020;21(7):e13013.
30-Fang S, Ding D. The differences between acceptance and commitment therapy (ACT) and cognitive behavioral therapy: A three-level meta-analysis. Journal of Contextual Behavioral Science. 2023;28:149-68.
31-Gloster AT, Walder N, Levin ME & et al. The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of contextual behavioral science. 2020;18:181-92.
32-Karekla M, Georgiou K. Functional Analysis Case Conceptualization and Acceptance and Commitment Therapy for the Treatment of Anxiety-Related and Rumination Problems. Anxiety Disorders and Related Conditions: Conceptualization and Treatment from Psychodynamic and Cognitive Behavioral Perspectives: Springer; 2024. p. 1-20.
33-Bellehumeur CR, Carignan L-M, Robinson N. Acceptance and commitment therapy to alleviate climate-induced psychological distress. British Journal of Guidance & Counselling. 2024:1-13.
34-Flaxman PE, Prudenzi A, Zernerova L. 19 Acceptance and Commitment Training in the Workplace. The oxford handbook of acceptance and commitment therapy. 2023:407.
35-Lillis J, Dallal DH, Forman EM. Innovations in applying ACT strategies for obesity and physical activity. Innovations in acceptance and commitment therapy: Clinical advancements and applications in ACT. 2020;126.
36-Pitil PP, Ghazali SR. Acceptance and commitment therapy and weight-related difficulties in overweight and obese adults: a systematic review. Psychological Reports. 2022:00332941221149172.
37-Nourian L, Aghaei A. Effectiveness of acceptance and commitment therapy on the body mass index in women afflicted with obesity. Iranian Journal of Psychiatric Nursing. 2015;3(2):11-20.
38-S F, i S. The effectiveness of acceptance and commitment therapy on experiential avoidance in overweight individuals. Journal of Research in Behavioural Sciences. 2016;14(2):146-53.
39-Abdul Karimi M, Gurban Shiroudi S, Khalatbari J & et al. The effectiveness of meta-diagnostic package based on Acceptance and Commitment Therapy, Therapy Focused on Compassion and Dialectical Behavior Therapy on emotion regulation and eating behavior of overweight and obese women. Psychological Sciences. 2018;17(70):651-62.
40-Järvelä-Reijonen E, Karhunen L, Sairanen E & et al. The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2018;15:1-14.
41-Ksiksou J, Maskour L, Alaoui S. Effect of acceptance and commitment therapy on depression, anxiety, stress, and psychological flexibility in women with breast cancer. KONTAKT-Journal of Nursing & Social Sciences related to Health & Illness. 2024;26(2).
Mehdi Tavallaei(Ph.D.) 1, Motahareh Hesarki Sharq(M.Sc.)2, Maryam Seyhoon(M.Sc.)3, Negin Tahvilian(Ph.D.s)5, Mahdieh Hosseinzadeh(Ph.D.)6
1.Assistant Professor of Department of Psychology and Educational Sciences, Non-Profit Institute of Higher Education Imam Javad, Yazd, Iran.
2.Master of General Psychology, Department of Psychology and Educational Sciences, Imam Javad Non-Profit Higher Education Institute, Yazd, Iran.
3.Master of Nutritional Sciences, Department of Nutrition, Faculty of Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
4.PhD student of Nutrition Sciences, School of Public Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran.
5.Corresponding Author: Associate Professor of Nutritional Sciences, School of Public Health, Shahid Sadougi University of Medical Sciences, Yazd, Iran. Tel: 035 31492240 Email: hoseinzade.mahdie@gmail.com.
Abstract
Introduction: The present study was conducted with the aim of investigating the effectiveness of acceptance and commitment therapy (ACT) on psychological capital, weight and fat mass of obese women.
Method: This study is a semi-experimental, involving a pre-test and post-test design with a control group. The research population comprised all overweight and obese women living in Yazd in 2021. According to the inclusion criteria, 30 people were selected and randomly replaced in two experimental and control groups (15 people in each group). The research instruments included a demographic information questionnaire, the psychological capital questionnaire, and the ACT treatment protocol. Following the pre-test, subjects in the control group underwent ACT treatment training sessions as the independent variable. The intervention consisted of nine group therapy sessions, each lasting 1.5 hours. Analysis of covariance (ANCOVA) was used to analyze the data.
Results: At the beginning of the research, the average weight in the experimental group was 73.85 kg and in the control group was 74.01 kg. The findings of the research showed that the treatment based on ACT was able to play an effective role in increasing the psychological capital of overweight and obese women in Yazd city (p=0/001). This treatment was also effective in reducing the fat mass and weight of the participants (p=0/001).
Conclusion: According to the results of the present study, it seems that ACT can play an effective role in solving the problems of overweight women and increase their psychological capital and reduce their weight and fat mass.
Keywords: Acceptance and Commitment Therapy (ACT), Psychological Capital, Weight Loss, Fat Mass, Women
References
1-Blüher M, Aras M, Aronne LJ & et al. New insights into the treatment of obesity. Diabetes, Obesity and Metabolism. 2023;25(8):2058-72.
2-Abiri B, Ahmadi AR, Amini S & et al. Prevalence of overweight and obesity among Iranian population: a systematic review and meta-analysis. Journal of Health, Population and Nutrition. 2023;42(1):70.
3-Koliaki C, Dalamaga M, Liatis S. Update on the obesity epidemic: after the sudden rise, is the upward trajectory beginning to flatten? Current Obesity Reports. 2023;12(4):514-27.
4-Elmaleh-Sachs A, Schwartz JL, Bramante CT& et al. Obesity management in adults: a review. Jama. 2023;330(20):2000-15.
5-Wharton S, Lau DC, Vallis M & et al. Obesity in adults: a clinical practice guideline. Cmaj. 2020;192(31):E875-E91.
6-Carraça E, Encantado J, Battista F & et al. Effective behavior change techniques to promote physical activity in adults with overweight or obesity: a systematic review and meta‐analysis. Obesity Reviews. 2021;22:e13258.
7-Awoke MA, Harrison CL, Martin J & et al. Behaviour change techniques in weight gain prevention interventions in adults of reproductive age: meta-analysis and meta-regression. Nutrients. 2022;14(1):209.
8-Kasila K, Vainio S, Punna M & et al. Individual differences in processes of lifestyle changes among people with obesity: an acceptance and commitment therapy (ACT) intervention in a primary health care setting. Primary health care research & development. 2020;21:12.
9-Toselli S, Grigoletto A, Zaccagni L & et al. Body image perception and body composition in early adolescents: a longitudinal study of an Italian cohort. BMC Public Health. 2021;21:1-13.
10-Niswah I, Rah JH, Roshita A. The association of body image perception with dietary and physical activity behaviors among adolescents in Indonesia. Food and nutrition bulletin. 2021;42(1_suppl):S109-S21.
11-Wang D, Benito PJ, Rubio‐Arias JÁ & et al. Exploring factors of adherence to weight loss interventions in population with overweight/obesity: an umbrella review. Obesity Reviews. 2024:e13783.
12-Mohseni M, Kuckuck S, Meeusen RE & et al et al. Improved physical and mental health after a combined lifestyle intervention with cognitive behavioural therapy for obesity. International Journal of Endocrinology and Metabolism. 2023;21.(1)
13-Lillis J, Bond DS. Values-based and acceptance-based intervention to promote adoption and maintenance of habitual physical activity among inactive adults with overweight/obesity: A study protocol for an open trial. BMJ open. 2019;9(1):e025115.
14-Paixão C, Dias CM, Jorge R & et al. Successful weight loss maintenance: a systematic review of weight control registries. Obesity reviews. 2020;21(5):e13003.
15-Twohig MP. Acceptance and commitment therapy: Introduction. Elsevier; 2012. p. 499-507.
16-Nissling L, Weineland S, Vernmark K & et al. Effectiveness of and processes related to internet-delivered acceptance and commitment therapy for adolescents with anxiety disorders: a randomized controlled trial. Research in Psychotherapy: Psychopathology, Process, and Outcome. 2023;26.(2)
17-Harris E, Samuel V. Acceptance and commitment therapy: A systematic literature review of prevention and intervention programs for mental health difficulties in children and young people. Journal of Cognitive Psychotherapy. 2020;34(4):280-305.
18-Hayes SC, Luoma JB, Bond FW & et al. Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy. 2006;44(1):1-25.
19-Robitzsch A, Schweda A, Hetkamp M & et al. The impact of psychological resources on body mass index in obesity surgery candidates. Frontiers in psychiatry. 2020;11:649.
20-Fang S, Ding D. The efficacy of group-based acceptance and commitment therapy on psychological capital and school engagement: A pilot study among Chinese adolescents. Journal of contextual behavioral science. 2020;16:134-43.
21-Ayn Beygi A, Soleimanian AA, Jajarmi M. The Comparison of the effectiveness of acceptance and commitment therapy and existentialism therapy on increasing psychological capital in the elderly. Aging Psychology. 2020;6(2):165-78.
22-Luthans F, Avolio BJ, Avey JB & et al. Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel psychology. 2007;60(3):541-72.
23-Bahadori Khosroshah J, Hashemi Nosratabad T, Babapour Kheirodin J. The relationship of psychological capital with social capital among students. Journal of Research and Health. 2012;2(1):63-71.
24-Comșa L, David O, David D. Outcomes and mechanisms of change in cognitive-behavioral interventions for weight loss: A meta-analysis of randomized clinical trials. Behaviour Research and Therapy. 2020;132:103654.
25-Yıldız E. The effects of acceptance and commitment therapy on lifestyle and behavioral changes: A systematic review of randomized controlled trials. Perspectives in psychiatric care. 2020; 56(3):657-90.
26-Afari N, Herbert M, Godfrey K & et al. Acceptance and commitment therapy as an adjunct to the MOVE! programme: a randomized controlled trial. Obesity science & practice. 2019;5(5):397-407.
27-Rose M, Graham CD, O'Connell N & et al. A randomised controlled trial of acceptance and commitment therapy for improving quality of life in people with muscle diseases. Psychological medicine. 2023;53(8):3511-24.
28-FirooziKhojastehfar R, Asgari K, Kalantari M & et al. A pilot randomized control of the efficacy of cognitive-behavioral therapy on depression and hypersexual behaviors in compulsive sexual behavior disorder. Sexual Health & Compulsivity. 2021; 2;28(3-4):189-99.
29-Lawlor ER, Islam N, Bates S & et al. Third‐wave cognitive behaviour therapies for weight management: a systematic review and network meta‐analysis. Obesity Reviews. 2020;21(7):e13013.
30-Fang S, Ding D. The differences between acceptance and commitment therapy (ACT) and cognitive behavioral therapy: A three-level meta-analysis. Journal of Contextual Behavioral Science. 2023;28:149-68.
31-Gloster AT, Walder N, Levin ME & et al. The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of contextual behavioral science. 2020;18:181-92.
32-Karekla M, Georgiou K. Functional Analysis Case Conceptualization and Acceptance and Commitment Therapy for the Treatment of Anxiety-Related and Rumination Problems. Anxiety Disorders and Related Conditions: Conceptualization and Treatment from Psychodynamic and Cognitive Behavioral Perspectives: Springer; 2024. p. 1-20.
33-Bellehumeur CR, Carignan L-M, Robinson N. Acceptance and commitment therapy to alleviate climate-induced psychological distress. British Journal of Guidance & Counselling. 2024:1-13.
34-Flaxman PE, Prudenzi A, Zernerova L. 19 Acceptance and Commitment Training in the Workplace. The oxford handbook of acceptance and commitment therapy. 2023:407.
35-Lillis J, Dallal DH, Forman EM. Innovations in applying ACT strategies for obesity and physical activity. Innovations in acceptance and commitment therapy: Clinical advancements and applications in ACT. 2020;126.
36-Pitil PP, Ghazali SR. Acceptance and commitment therapy and weight-related difficulties in overweight and obese adults: a systematic review. Psychological Reports. 2022:00332941221149172.
37-Nourian L, Aghaei A. Effectiveness of acceptance and commitment therapy on the body mass index in women afflicted with obesity. Iranian Journal of Psychiatric Nursing. 2015;3(2):11-20.
38-S F, i S. The effectiveness of acceptance and commitment therapy on experiential avoidance in overweight individuals. Journal of Research in Behavioural Sciences. 2016;14(2):146-53.
39-Abdul Karimi M, Gurban Shiroudi S, Khalatbari J & et al. The effectiveness of meta-diagnostic package based on Acceptance and Commitment Therapy, Therapy Focused on Compassion and Dialectical Behavior Therapy on emotion regulation and eating behavior of overweight and obese women. Psychological Sciences. 2018;17(70):651-62.
40-Järvelä-Reijonen E, Karhunen L, Sairanen E & et al. The effects of acceptance and commitment therapy on eating behavior and diet delivered through face-to-face contact and a mobile app: a randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2018;15:1-14.
41-Ksiksou J, Maskour L, Alaoui S. Effect of acceptance and commitment therapy on depression, anxiety, stress, and psychological flexibility in women with breast cancer. KONTAKT-Journal of Nursing & Social Sciences related to Health & Illness. 2024;26(2).
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Received: 2024/07/19 | Accepted: 2024/09/18 | Published: 2024/11/18
Received: 2024/07/19 | Accepted: 2024/09/18 | Published: 2024/11/18
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